Within the field of translational science (the translation of new clinical knowledge into improved health) studies suggesting methods for bridging the gap between research and practice [ 14] mainly focus on exploring implementation methods capable of promoting the exchange, transfer, diffusion and dissemination of evidence-based knowledge to practitioners and decision-makers in healthcare systems [ 14 ].
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Why is it important to translate research into clinical practice?
Feb 10, 2016 · Within the field of translational science (the translation of new clinical knowledge into improved health) studies suggesting methods for bridging the gap between research and practice mainly focus on exploring implementation methods capable of promoting the exchange, transfer, diffusion and dissemination of evidence-based knowledge to practitioners and …
What is the science of translation?
Background: Provider-based research networks (PBRNs)--collaborative research partnerships between academic centers and community-based practitioners--are a promising model for accelerating the translation of research into practice; however, empirical evidence of accelerated translation is limited. Oxaliplatin in adjuvant combination chemotherapy is an innovation with …
Can nurse‐led research be translated into clinical practice?
Sep 20, 2016 · Knowledge translation is the process through which research knowledge is created, circulated and adopted into clinical practice. Synonymous terms are used by researchers around the world. A study involving 33 research funding agencies across nine different countries identified 29 different terms referring to knowledge translation (Graham et al .
What is the best way to translate research into practice?
The science of how research is adopted is known as translation science, the science of translating research into practice (TRIP). The primary aim of research utilization is to activate the change process to move research findings into practice to improve patient outcomes.
Accelerating Change and Transformation in Organizations and Networks III (ACTION III)
ACTION III is a contract mechanism the Agency for Healthcare Research and Quality (AHRQ) uses to support field-based delivery system research.
Accelerating Change and Transformation in Organizations and Networks (ACTION) 4
ACTION 4 is the fourth generation of an AHRQ-wide contracting mechanism that supports field-based delivery system research. In addition to the core competencies of field-based health services research that characterized ACTION III, ACTION 4 includes a focus on:
How does research help in healthcare?
Healthcare research continually produces large amounts of results and revised methods of treatment and care for patients, which, if implemented in practice, can potentially save lives and improve the quality of life of patients [1].
Do doctors and nurses teach each other?
Both doctors and nurses described teaching each other theoretically, sharing knowledge, and in some cases attending formal training, such as conferences or courses. Nonetheless, these practices were seen as ineffective in implementing research results. As one nurse expressed it:
Why is it important to translate research into clinical practice?
Translating research evidence to clinical practice is essential to safe, transparent, effective and efficient healthcare provision and meeting the expectations of patients, families and society. Despite its importance, translating research into clinical practice is challenging. There are more nurses in the frontline of health care ...
What are the barriers to translating research into practice?
There are also many well-documented barriers to research translation. Multiple factors influence the uptake of research into practice. It is challenging to introduce and sustain evidence and evidence-informed protocols in the context of competing priorities in health care. Despite high-level recommendations to improve implementation of evidence-based practice, implementation is variable. Numerous organisational and individual factors impact implementation and uptake, including clinician behaviour, lack of time, difficulties in developing evidence-based or informed guidelines, a lack of continuing education and an unsupportive organisational culture (Haynes & Haines 1998, Wallis 2012 ), the availability and dissemination of evidence, individual motivation and the culture of specific healthcare practices (McKenna et al. 2004 ). Central to successful implementation of research evidence into clinical practice is changing human behaviour. Any attempt to improve the quality of care for patients by translating research must incorporate a clear understanding of the associated barriers to, and facilitators of, behaviour change. Understanding these is also fundamental to the development of a feasible, successful and sustainable implementation strategy.
What is implementation science?
Implementation is a science and can be encompassed within the normalisation process theory, which characterises implementation as a social process of collective action (May 2013 ). The intent of implementation science is to investigate and address major contextual factors (e.g. social, behavioural, economic, management) that hinder successful implementation, test new approaches and determine causal relationships (Fogarty International Center 2013 ). The Consolidated Framework for Implementation Research (CFIR) published in 2009 provides a pragmatic structure to promote verification about what works where and why across multiple contexts and includes five major domains: intervention characteristics, outer setting, inner setting, characteristics of the individuals involved and the process of implementation (Damschroder et al. 2009 ). This work provides a foundation for researchers implementing and evaluating knowledge translation to build the implementation knowledge base across multiple settings (Damschroder et al. 2009 ). As with all research, and to truly validate the CFIR and other research frameworks, descriptions must be precise enough to enable measurement and reproducibility (Proctor et al. 2013 ). When publishing research, researchers should clearly explain how they justified the selection of specific framework constructs, integrated the framework throughout the research process (in study design, data collection, and analysis) and link determinants of implementation to outcomes to contribute to this emerging field of research (Kirk et al. 2016 ).
What is research utilisation?
Research utilisation implies not only the implementation of evidence into practice, but also the evaluation of consequent changes in practice (Jones 2000 ). It is no longer acceptable to implement a change in clinical care and not evaluate the impact of that change. That is, if the research evidence is applied in a given context, the resulting change should be evaluated in terms of the outcomes, considering patients, consumers, clinicians and the organisation. It is crucial to build implementation evaluation into study design by ensuring collection of data that will be able to be used to determine how well the intervention has been adopted, For example, Do all staff comply with the introduced protocol all the time? If they do (or do not), Why and what difference does this make? An example of this is demonstrated in Table 4. A summary of key knowledge translation terms is provided in Table 5 .
What is the knowledge to action cycle?
2006 ). The knowledge-to-action cycle details the sequence and steps involved in achieving the transfer of research knowledge into clinical practice consisting of two phases. The initial creation phase consists of synthesising knowledge as part of producing new tools, such as clinical guidelines in response to an identified clinical problem. This step ensures knowledge is founded on the best available evidence prior to progressing to the action component, which is the process of implementing and evaluating new knowledge in clinical practice (Graham et al. 2006 ). The action cycle comprises seven phases: (1) identify problem and relevant research; (2) adapt research to local context; (3) assess barriers to using the knowledge; (4) select, tailor and implement interventions; (5) monitor knowledge use; (6) evaluate outcomes; and (7) sustain knowledge use.
What is knowledge translation?
‘knowledge translation (KT) is defined as a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically-sound application of knowledge to improve the health of Canadians, provide more effective health services and products and strengthen the health care system .
How does translation of evidence help?
More importantly, the translation of evidence can bring about cultural, behavioural and practice change reducing the research–practice gap. Through the translation of evidence, patient safety and care responses can be recalibrated to optimise outcomes for patients and staff.
What is the science of how research is adopted?
The science of how research is adopted is known as translation science, the science of translating research into practice (TRIP). The primary aim of research utilization is to activate the change process to move research findings into practice to improve patient outcomes. 2.
What is CER research?
Comparative effectiveness research (CER) is the "generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition or to improve the delivery of care " (Institute of Medicine, 2009, p. 29).
What is evidence based practice?
The evidence-based practice (EBP) movement has grown exponentially with scientific publications, establishment of collaboration centers, resources on the Web, and grants focused specifically on translating of research into practice. A number of evidence-based nursing centers have been established around the world.
What is EBP in medical terminology?
ANS: A. EBP is the integration of best research evidence with clinical expertise and the patients' unique values and circumstances. In this situation, the family's values and preferences would be considered. Search of databases, clarification of the question, and gaining staff input would occur in the process.
Why is it important to apply nursing research findings?
The application of the nursing research findings is one of the most important indicators of development in the nursing profession, which leads to providing efficient and effective patient care and improving the quality of nursing care. According the result of some studies, transferring the evidence-based findings to the nurses’ practice ...
Why do nurses not have much interest in research?
Nurses do not have much interest in research and transferring its findings to the clinical practice,[11] which can be due to the development and recognition of the nursing profession, the nurses’ professional and personal interests, and increased patients’ reliability and safety. [12] .
How many people do not receive evidence based care?
The results of studies conducted in the US and The Netherlands have shown that 30–40% of patients do not receive scientific evidence-based care and about 20–25% of them receive unnecessary care.[25] .